home *** CD-ROM | disk | FTP | other *** search
| Unknown | 1992-06-06 | 313.1 KB |
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MacOS 8.1
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Win98
|
DOS
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| Confidence | Program | Detection | Match Type | Support
|
|---|
| 66%
| dexvert
| OS/2 Installation Package (archive/os2InstallPackage)
| ext
| Supported |
| 1%
| dexvert
| BeOS Installation Package (archive/beOSInstallPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Newton Package (archive/newtonPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Independence War 2 mod Package (other/independenceWar2ModPackage)
| ext
| Unsupported |
| 100%
| file
| data
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
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|00000530| 00 01 92 82 04 00 7e 0f | 00 00 39 34 00 00 00 01 |......~.|..94....|
|00000540| 10 92 04 00 8e 0c 00 00 | 39 35 00 00 00 01 9e 9e |........|95......|
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|00000580| 39 39 00 00 00 01 77 d4 | 04 00 e0 0f 00 00 00 00 |99....w.|........|
|00000590| 00 00 00 00 57 e4 04 00 | 00 00 00 00 24 55 6e 69 |....W...|....$Uni|
|000005a0| 71 75 65 5f 49 44 7b 59 | 52 42 30 33 38 30 30 7d |que_ID{Y|RB03800}|
|000005b0| 0d 0a 24 54 69 74 6c 65 | 7b 57 68 61 74 20 49 20 |..$Title|{What I |
|000005c0| 54 61 6b 65 20 74 6f 20 | 74 68 65 20 47 61 6d 65 |Take to |the Game|
|000005d0| 7d 0d 0a 24 41 75 74 68 | 6f 72 7b 0d 0a 48 6f 77 |}..$Auth|or{..How|
|000005e0| 65 2c 20 57 42 7d 0d 0a | 24 41 66 66 69 6c 69 61 |e, WB}..|$Affilia|
|000005f0| 74 69 6f 6e 7b 4f 61 6b | 20 48 61 72 62 6f 72 20 |tion{Oak| Harbor |
|00000600| 53 63 68 6f 6f 6c 20 44 | 69 73 74 72 69 63 74 2c |School D|istrict,|
|00000610| 20 57 61 73 68 69 6e 67 | 74 6f 6e 7d 0d 0a 24 4a | Washing|ton}..$J|
|00000620| 6f 75 72 6e 61 6c 7b 50 | 68 79 73 69 63 69 61 6e |ournal{P|hysician|
|00000630| 20 53 70 6f 72 74 73 6d | 65 64 7d 0d 0a 24 56 6f | Sportsm|ed}..$Vo|
|00000640| 6c 75 6d 65 7b 31 38 7d | 0d 0a 24 50 61 67 65 7b |lume{18}|..$Page{|
|00000650| 36 31 2d 36 36 7d 0d 0a | 24 44 61 74 65 7b 31 39 |61-66}..|$Date{19|
|00000660| 39 30 7d 0d 0a 24 59 42 | 56 6f 6c 7b 31 39 39 31 |90}..$YB|Vol{1991|
|00000670| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
|00000680| 6f 72 74 73 20 4d 65 64 | 69 63 69 6e 65 7d 0d 0a |orts Med|icine}..|
|00000690| 24 43 68 61 70 74 65 72 | 7b 38 2d 31 7d 0d 0a 24 |$Chapter|{8-1}..$|
|000006a0| 59 42 45 64 69 74 6f 72 | 7b 44 72 73 2e 20 53 68 |YBEditor|{Drs. Sh|
|000006b0| 65 70 68 61 72 64 2c 20 | 45 69 63 68 6e 65 72 2c |ephard, |Eichner,|
|000006c0| 20 53 75 74 74 6f 6e 2c | 20 61 6e 64 20 54 6f 72 | Sutton,| and Tor|
|000006d0| 67 2c 20 43 6f 6c 2e 20 | 41 6e 64 65 72 73 6f 6e |g, Col. |Anderson|
|000006e0| 2c 20 61 6e 64 20 4d 72 | 2e 0d 0a 47 65 6f 72 67 |, and Mr|...Georg|
|000006f0| 65 7d 0d 0a 24 54 61 62 | 6c 65 7b 7d 0d 0a 24 43 |e}..$Tab|le{}..$C|
|00000700| 6f 6d 6d 65 6e 74 61 74 | 6f 72 7b 46 2e 4a 2e 20 |ommentat|or{F.J. |
|00000710| 47 65 6f 72 67 65 2c 20 | 41 54 43 20 50 54 7d 0d |George, |ATC PT}.|
|00000720| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 43 29 |...Copyr|ight (C)|
|00000730| 20 59 65 61 72 20 42 6f | 6f 6b 20 4d 65 64 69 63 | Year Bo|ok Medic|
|00000740| 61 6c 20 50 75 62 6c 69 | 73 68 65 72 73 2c 20 49 |al Publi|shers, I|
|00000750| 6e 63 2e 20 31 39 39 31 | 0d 0a 0d 0a 31 39 39 31 |nc. 1991|....1991|
|00000760| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
|00000770| 6f 72 74 73 20 4d 65 64 | 69 63 69 6e 65 0d 0a 0d |orts Med|icine...|
|00000780| 0a 43 68 61 70 74 65 72 | 20 38 20 2d 2d 20 45 70 |.Chapter| 8 -- Ep|
|00000790| 69 64 65 6d 69 6f 6c 6f | 67 79 20 61 6e 64 20 50 |idemiolo|gy and P|
|000007a0| 72 65 76 65 6e 74 69 6f | 6e 20 6f 66 20 49 6e 6a |reventio|n of Inj|
|000007b0| 75 72 79 0d 0a 0d 0a 2d | 2d 2d 2d 2d 2d 2d 2d 2d |ury....-|--------|
|000007c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000007d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000007e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000007f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000800| 2d 2d 2d 2d 2d 0d 0a 57 | 68 61 74 20 49 20 54 61 |-----..W|hat I Ta|
|00000810| 6b 65 20 74 6f 20 74 68 | 65 20 47 61 6d 65 0d 0a |ke to th|e Game..|
|00000820| 0d 0a 48 6f 77 65 20 57 | 42 0d 0a 28 4f 61 6b 20 |..Howe W|B..(Oak |
|00000830| 48 61 72 62 6f 72 20 53 | 63 68 6f 6f 6c 20 44 69 |Harbor S|chool Di|
|00000840| 73 74 72 69 63 74 2c 20 | 57 61 73 68 69 6e 67 74 |strict, |Washingt|
|00000850| 6f 6e 29 0d 0a 50 68 79 | 73 69 63 69 61 6e 20 53 |on)..Phy|sician S|
|00000860| 70 6f 72 74 73 6d 65 64 | 20 31 38 3a 36 31 2d 36 |portsmed| 18:61-6|
|00000870| 36 2c 20 31 39 39 30 0d | 0a 2d 2d 2d 2d 2d 2d 2d |6, 1990.|.-------|
|00000880| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000890| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008a0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008b0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000008c0| 2d 2d 2d 2d 2d 2d 2d 0d | 0a 0d 0a 41 62 73 74 72 |-------.|...Abstr|
|000008d0| 61 63 74 0d 0a 0d 0a 20 | 20 20 20 20 54 68 65 20 |act.... | The |
|000008e0| 74 65 61 6d 20 70 68 79 | 73 69 63 69 61 6e 27 73 |team phy|sician's|
|000008f0| 20 64 65 63 69 73 69 6f | 6e 20 61 62 6f 75 74 20 | decisio|n about |
|00000900| 77 68 61 74 20 73 75 70 | 70 6c 69 65 73 20 6f 72 |what sup|plies or|
|00000910| 20 65 71 75 69 70 6d 65 | 6e 74 20 74 6f 20 62 72 | equipme|nt to br|
|00000920| 69 6e 67 0d 0a 74 6f 20 | 61 20 67 61 6d 65 20 69 |ing..to |a game i|
|00000930| 73 20 70 65 72 73 6f 6e | 61 6c 2c 20 62 61 73 65 |s person|al, base|
|00000940| 64 20 6f 6e 20 73 70 65 | 63 69 66 69 63 20 70 72 |d on spe|cific pr|
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|00000970| 20 62 65 0d 0a 68 65 6c | 70 66 75 6c 20 69 6e 20 | be..hel|pful in |
|00000980| 64 65 61 6c 69 6e 67 20 | 77 69 74 68 20 69 6d 6d |dealing |with imm|
|00000990| 65 64 69 61 74 65 20 70 | 72 6f 62 6c 65 6d 73 20 |ediate p|roblems |
|000009a0| 74 68 61 74 20 75 73 75 | 61 6c 6c 79 20 64 6f 20 |that usu|ally do |
|000009b0| 6e 6f 74 20 72 65 71 75 | 69 72 65 0d 0a 6c 69 66 |not requ|ire..lif|
|000009c0| 65 73 61 76 69 6e 67 20 | 69 6e 74 65 72 76 65 6e |esaving |interven|
|000009d0| 74 69 6f 6e 20 6f 72 20 | 72 65 66 65 72 72 61 6c |tion or |referral|
|000009e0| 2e 20 20 48 6f 77 65 76 | 65 72 2c 20 74 68 65 20 |. Howev|er, the |
|000009f0| 65 73 73 65 6e 74 69 61 | 6c 73 20 66 6f 72 20 64 |essentia|ls for d|
|00000a00| 65 61 6c 69 6e 67 20 77 | 69 74 68 0d 0a 61 6e 20 |ealing w|ith..an |
|00000a10| 65 6d 65 72 67 65 6e 63 | 79 20 73 68 6f 75 6c 64 |emergenc|y should|
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|00000a30| 67 2e 20 20 54 68 69 73 | 20 73 61 76 65 73 20 74 |g. This| saves t|
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|00000a50| 65 20 73 70 65 6e 74 0d | 0a 77 61 69 74 69 6e 67 |e spent.|.waiting|
|00000a60| 20 66 6f 72 20 74 68 65 | 20 61 74 68 6c 65 74 65 | for the| athlete|
|00000a70| 20 74 6f 20 72 65 63 65 | 69 76 65 20 63 61 72 65 | to rece|ive care|
|00000a80| 20 69 6e 20 74 68 65 20 | 65 6d 65 72 67 65 6e 63 | in the |emergenc|
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|00000ac0| 61 62 6c 65 20 74 72 61 | 6e 73 70 6f 72 74 20 68 |able tra|nsport h|
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|00000af0| 72 72 65 64 20 62 61 67 | 20 69 73 20 6d 61 64 65 |rred bag| is made|
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|00000b20| 70 72 6f 6f 66 20 61 6e | 64 20 6c 6f 63 6b 61 62 |proof an|d lockab|
|00000b30| 6c 65 2e 0d 0a 43 6f 6e | 74 65 6e 74 73 20 61 72 |le...Con|tents ar|
|00000b40| 65 20 71 75 69 63 6b 6c | 79 20 76 69 73 69 62 6c |e quickl|y visibl|
|00000b50| 65 20 79 65 74 20 70 72 | 6f 74 65 63 74 65 64 20 |e yet pr|otected |
|00000b60| 66 72 6f 6d 20 64 61 6d | 61 67 65 2e 20 20 49 74 |from dam|age. It|
|00000b70| 20 69 73 20 62 65 73 74 | 20 74 6f 20 63 61 72 72 | is best| to carr|
|00000b80| 79 0d 0a 73 6d 61 6c 6c | 20 70 61 63 6b 61 67 65 |y..small| package|
|00000b90| 73 20 6f 66 20 6d 65 64 | 69 63 61 74 69 6f 6e 73 |s of med|ications|
|00000ba0| 20 61 6e 64 20 73 75 70 | 70 6c 69 65 73 2e 20 20 | and sup|plies. |
|00000bb0| 54 68 65 20 62 61 67 20 | 6d 75 73 74 20 62 65 20 |The bag |must be |
|00000bc0| 72 65 73 74 6f 63 6b 65 | 64 20 61 66 74 65 72 0d |restocke|d after.|
|00000bd0| 0a 65 61 63 68 20 75 73 | 65 2c 20 61 6e 64 20 63 |.each us|e, and c|
|00000be0| 61 72 65 20 6d 75 73 74 | 20 62 65 20 74 61 6b 65 |are must| be take|
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|00000c20| 65 72 27 73 20 6b 69 74 | 20 73 68 6f 75 6c 64 20 |er's kit| should |
|00000c30| 69 6e 63 6c 75 64 65 20 | 66 69 72 73 74 2d 61 69 |include |first-ai|
|00000c40| 64 20 69 74 65 6d 73 2c | 20 77 72 61 70 73 2c 20 |d items,| wraps, |
|00000c50| 74 61 70 65 2c 20 61 6e | 64 20 73 6f 20 66 6f 72 |tape, an|d so for|
|00000c60| 74 68 2e 20 20 54 68 65 | 0d 0a 74 72 61 69 6e 65 |th. The|..traine|
|00000c70| 72 20 61 6e 64 20 70 68 | 79 73 69 63 69 61 6e 20 |r and ph|ysician |
|00000c80| 73 68 6f 75 6c 64 20 64 | 65 63 69 64 65 20 77 68 |should d|ecide wh|
|00000c90| 69 63 68 20 62 75 6c 6b | 79 20 61 6e 64 20 73 70 |ich bulk|y and sp|
|00000ca0| 6f 72 74 2d 73 70 65 63 | 69 66 69 63 20 73 75 70 |ort-spec|ific sup|
|00000cb0| 70 6c 69 65 73 0d 0a 61 | 72 65 20 6e 65 65 64 65 |plies..a|re neede|
|00000cc0| 64 20 61 6e 64 20 73 65 | 65 20 74 68 61 74 20 74 |d and se|e that t|
|00000cd0| 68 65 79 20 61 72 65 20 | 74 72 61 6e 73 70 6f 72 |hey are |transpor|
|00000ce0| 74 65 64 20 77 69 74 68 | 20 74 68 65 20 74 65 61 |ted with| the tea|
|00000cf0| 6d 2e 20 20 54 68 65 20 | 70 68 79 73 69 63 69 61 |m. The |physicia|
|00000d00| 6e 0d 0a 6e 65 65 64 20 | 6e 6f 74 20 63 61 72 72 |n..need |not carr|
|00000d10| 79 20 65 71 75 69 70 6d | 65 6e 74 20 6e 6f 72 6d |y equipm|ent norm|
|00000d20| 61 6c 6c 79 20 73 75 70 | 70 6c 69 65 64 20 62 79 |ally sup|plied by|
|00000d30| 20 61 6d 62 75 6c 61 6e | 63 65 20 75 6e 69 74 73 | ambulan|ce units|
|00000d40| 20 62 75 74 20 6d 75 73 | 74 20 6b 6e 6f 77 0d 0a | but mus|t know..|
|00000d50| 68 6f 77 20 74 6f 20 6f | 62 74 61 69 6e 20 73 75 |how to o|btain su|
|00000d60| 63 68 20 75 6e 69 74 73 | 20 71 75 69 63 6b 6c 79 |ch units| quickly|
|00000d70| 2e 20 20 54 68 65 20 70 | 68 79 73 69 63 69 61 6e |. The p|hysician|
|00000d80| 27 73 20 63 6c 6f 74 68 | 69 6e 67 20 73 68 6f 75 |'s cloth|ing shou|
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|00001140| 65 6e 74 61 74 6f 72 7b | 43 6f 6c 2e 20 4a 2e 4c |entator{|Col. J.L|
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|000011e0| 64 20 50 72 65 76 65 6e | 74 69 6f 6e 20 6f 66 20 |d Preven|tion of |
|000011f0| 49 6e 6a 75 72 79 0d 0a | 0d 0a 2d 2d 2d 2d 2d 2d |Injury..|..------|
|00001200| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001210| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001220| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001230| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001240| 2d 2d 2d 2d 2d 2d 2d 2d | 0d 0a 54 68 65 20 49 6e |--------|..The In|
|00001250| 61 70 70 72 6f 70 72 69 | 61 74 65 6e 65 73 73 20 |appropri|ateness |
|00001260| 6f 66 20 48 65 6c 6d 65 | 74 20 44 72 6f 70 20 54 |of Helme|t Drop T|
|00001270| 65 73 74 73 20 69 6e 20 | 41 73 73 65 73 73 69 6e |ests in |Assessin|
|00001280| 67 20 4e 65 63 6b 20 50 | 72 6f 74 65 63 74 69 6f |g Neck P|rotectio|
|00001290| 6e 20 69 6e 0d 0a 48 65 | 61 64 2d 46 69 72 73 74 |n in..He|ad-First|
|000012a0| 20 49 6d 70 61 63 74 73 | 0d 0a 0d 0a 42 69 73 68 | Impacts|....Bish|
|000012b0| 6f 70 20 50 4a 3b 20 57 | 65 6c 6c 73 20 52 50 0d |op PJ; W|ells RP.|
|000012c0| 0a 28 55 6e 69 76 20 6f | 66 20 57 61 74 65 72 6c |.(Univ o|f Waterl|
|000012d0| 6f 6f 2c 20 57 61 74 65 | 72 6c 6f 6f 2c 20 4f 6e |oo, Wate|rloo, On|
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|000012f0| 4d 65 64 20 31 38 3a 32 | 30 31 2d 32 30 35 2c 20 |Med 18:2|01-205, |
|00001300| 31 39 39 30 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |1990..--|--------|
|00001310| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001320| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001330| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001340| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001350| 2d 2d 2d 2d 0d 0a 0d 0a | 41 62 73 74 72 61 63 74 |----....|Abstract|
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|00001420| 70 72 6f 76 69 64 65 20 | 6c 69 74 74 6c 65 20 70 |provide |little p|
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|00001c50| 54 68 65 20 61 75 74 68 | 6f 72 73 20 68 61 76 65 |The auth|ors have|
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|00002020| 4f 74 74 61 77 61 2c 20 | 4f 6e 74 7d 0d 0a 24 4a |Ottawa, |Ont}..$J|
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|00002060| 37 2d 37 30 30 7d 0d 0a | 24 44 61 74 65 7b 31 39 |7-700}..|$Date{19|
|00002070| 39 30 7d 0d 0a 24 59 42 | 56 6f 6c 7b 31 39 39 31 |90}..$YB|Vol{1991|
|00002080| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
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|000020b0| 59 42 45 64 69 74 6f 72 | 7b 44 72 73 2e 20 53 68 |YBEditor|{Drs. Sh|
|000020c0| 65 70 68 61 72 64 2c 20 | 45 69 63 68 6e 65 72 2c |ephard, |Eichner,|
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|000020e0| 67 2c 20 43 6f 6c 2e 20 | 41 6e 64 65 72 73 6f 6e |g, Col. |Anderson|
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|00002110| 6f 6d 6d 65 6e 74 61 74 | 6f 72 7b 4a 2e 52 2e 20 |ommentat|or{J.R. |
|00002120| 53 75 74 74 6f 6e 2c 20 | 4d 2e 44 2e 7d 0d 0a 0d |Sutton, |M.D.}...|
|00002130| 0a 43 6f 70 79 72 69 67 | 68 74 20 28 43 29 20 59 |.Copyrig|ht (C) Y|
|00002140| 65 61 72 20 42 6f 6f 6b | 20 4d 65 64 69 63 61 6c |ear Book| Medical|
|00002150| 20 50 75 62 6c 69 73 68 | 65 72 73 2c 20 49 6e 63 | Publish|ers, Inc|
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|000021a0| 65 6d 69 6f 6c 6f 67 79 | 20 61 6e 64 20 50 72 65 |emiology| and Pre|
|000021b0| 76 65 6e 74 69 6f 6e 20 | 6f 66 20 49 6e 6a 75 72 |vention |of Injur|
|000021c0| 79 0d 0a 0d 0a 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |y....---|--------|
|000021d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000021e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000021f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002200| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002210| 2d 2d 2d 0d 0a 42 69 63 | 79 63 6c 65 20 48 65 6c |---..Bic|ycle Hel|
|00002220| 6d 65 74 20 55 73 65 20 | 69 6e 20 4f 74 74 61 77 |met Use |in Ottaw|
|00002230| 61 0d 0a 0d 0a 43 75 73 | 68 6d 61 6e 20 52 3b 20 |a....Cus|hman R; |
|00002240| 44 6f 77 6e 20 4a 3b 20 | 4d 61 63 4d 69 6c 6c 61 |Down J; |MacMilla|
|00002250| 6e 20 4e 3b 20 57 61 63 | 6c 61 77 69 6b 20 48 0d |n N; Wac|lawik H.|
|00002260| 0a 28 44 61 6c 68 6f 75 | 73 69 65 20 48 65 61 6c |.(Dalhou|sie Heal|
|00002270| 74 68 20 61 6e 64 20 43 | 6f 6d 6d 75 6e 69 74 79 |th and C|ommunity|
|00002280| 20 53 65 72 76 69 63 65 | 73 3b 20 43 68 69 6c 64 | Service|s; Child|
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|000022b0| 43 69 74 69 7a 65 6e 73 | 20 66 6f 72 20 53 61 66 |Citizens| for Saf|
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|000022d0| 61 2c 20 4f 6e 74 29 0d | 0a 43 61 6e 20 46 61 6d |a, Ont).|.Can Fam|
|000022e0| 20 50 68 79 73 69 63 69 | 61 6e 20 33 36 3a 36 39 | Physici|an 36:69|
|000022f0| 37 2d 37 30 30 2c 20 31 | 39 39 30 0d 0a 2d 2d 2d |7-700, 1|990..---|
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|00002310| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002320| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002330| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002340| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 0d 0a 0d 0a 41 |--------|---....A|
|00002350| 62 73 74 72 61 63 74 0d | 0a 0d 0a 20 20 20 20 20 |bstract.|... |
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|000023a0| 63 6f 6e 64 75 63 74 65 | 64 0d 0a 6f 66 20 62 69 |conducte|d..of bi|
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|000023d0| 2e 20 20 52 69 64 65 72 | 73 20 69 6e 20 76 61 72 |. Rider|s in var|
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|000023f0| 77 65 72 65 0d 0a 6f 62 | 73 65 72 76 65 64 3a 20 |were..ob|served: |
|00002400| 20 77 65 65 6b 65 6e 64 | 20 72 65 63 72 65 61 74 | weekend| recreat|
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|00002420| 77 65 65 6b 64 61 79 20 | 63 69 74 79 20 63 6f 6d |weekday |city com|
|00002430| 6d 75 74 65 72 73 2c 20 | 61 6e 64 20 73 74 75 64 |muters, |and stud|
|00002440| 65 6e 74 73 0d 0a 61 74 | 20 65 6c 65 6d 65 6e 74 |ents..at| element|
|00002450| 61 72 79 20 61 6e 64 20 | 73 65 63 6f 6e 64 61 72 |ary and |secondar|
|00002460| 79 20 73 63 68 6f 6f 6c | 73 20 61 6e 64 20 61 74 |y school|s and at|
|00002470| 20 63 6f 6c 6c 65 67 65 | 73 20 61 6e 64 20 75 6e | college|s and un|
|00002480| 69 76 65 72 73 69 74 69 | 65 73 2e 0d 0a 20 20 20 |iversiti|es... |
|00002490| 20 20 54 68 65 20 74 6f | 74 61 6c 20 6e 75 6d 62 | The to|tal numb|
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|000024b0| 62 73 65 72 76 65 64 20 | 77 61 73 20 31 2c 39 36 |bserved |was 1,96|
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|000024d0| 31 20 28 31 30 2e 37 25 | 29 0d 0a 77 6f 72 65 20 |1 (10.7%|)..wore |
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|000024f0| 67 68 65 73 74 20 6c 65 | 76 65 6c 20 6f 66 20 68 |ghest le|vel of h|
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|00002560| 31 34 2e 33 25 29 2e 20 | 20 4f 76 65 72 61 6c 6c |14.3%). | Overall|
|00002570| 0d 0a 72 61 74 65 20 6f | 66 20 68 65 6c 6d 65 74 |..rate o|f helmet|
|00002580| 20 75 73 65 20 61 6d 6f | 6e 67 20 73 74 75 64 65 | use amo|ng stude|
|00002590| 6e 74 73 20 77 61 73 20 | 31 2e 39 25 2c 20 77 68 |nts was |1.9%, wh|
|000025a0| 69 63 68 20 77 61 73 20 | 73 69 67 6e 69 66 69 63 |ich was |signific|
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|000025c0| 0a 69 6e 20 74 68 65 20 | 6f 74 68 65 72 20 32 20 |.in the |other 2 |
|000025d0| 67 72 6f 75 70 73 2e 20 | 20 48 65 6c 6d 65 74 20 |groups. | Helmet |
|000025e0| 75 73 65 20 77 61 73 20 | 33 25 20 61 6d 6f 6e 67 |use was |3% among|
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|00002660| 41 6e 20 61 6e 61 6c 79 | 73 69 73 20 6f 66 20 68 |An analy|sis of h|
|00002670| 6f 73 70 69 74 61 6c 20 | 61 64 6d 69 73 73 69 6f |ospital |admissio|
|00002680| 6e 73 20 66 6f 72 20 62 | 69 63 79 63 6c 65 20 69 |ns for b|icycle i|
|00002690| 6e 6a 75 72 69 65 73 20 | 61 74 20 61 0d 0a 63 68 |njuries |at a..ch|
|000026a0| 69 6c 64 72 65 6e 27 73 | 20 68 6f 73 70 69 74 61 |ildren's| hospita|
|000026b0| 6c 20 73 68 6f 77 65 64 | 20 74 68 61 74 20 74 68 |l showed| that th|
|000026c0| 65 73 65 20 69 6e 6a 75 | 72 69 65 73 20 61 63 63 |ese inju|ries acc|
|000026d0| 6f 75 6e 74 65 64 20 66 | 6f 72 20 31 37 25 20 6f |ounted f|or 17% o|
|000026e0| 66 20 74 72 61 75 6d 61 | 0d 0a 61 64 6d 69 73 73 |f trauma|..admiss|
|000026f0| 69 6f 6e 73 20 62 65 74 | 77 65 65 6e 20 74 68 65 |ions bet|ween the|
|00002700| 20 6d 6f 6e 74 68 73 20 | 6f 66 20 41 70 72 69 6c | months |of April|
|00002710| 20 61 6e 64 20 4f 63 74 | 6f 62 65 72 20 66 6f 72 | and Oct|ober for|
|00002720| 20 63 68 69 6c 64 72 65 | 6e 20 61 67 65 64 20 35 | childre|n aged 5|
|00002730| 20 79 65 61 72 73 0d 0a | 61 6e 64 20 6f 6c 64 65 | years..|and olde|
|00002740| 72 2e 20 20 55 73 65 20 | 6f 66 20 68 65 6c 6d 65 |r. Use |of helme|
|00002750| 74 73 20 62 79 20 62 69 | 63 79 63 6c 69 73 74 73 |ts by bi|cyclists|
|00002760| 20 69 73 20 67 65 6e 65 | 72 61 6c 6c 79 20 6c 6f | is gene|rally lo|
|00002770| 77 2c 20 61 6e 64 20 63 | 68 69 6c 64 72 65 6e 20 |w, and c|hildren |
|00002780| 61 6e 64 0d 0a 79 6f 75 | 6e 67 20 61 64 75 6c 74 |and..you|ng adult|
|00002790| 73 20 61 72 65 20 6c 65 | 61 73 74 20 6c 69 6b 65 |s are le|ast like|
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|000027b0| 73 2e 20 20 43 68 69 6c | 64 72 65 6e 20 61 67 65 |s. Chil|dren age|
|000027c0| 64 20 35 2d 31 39 20 79 | 65 61 72 73 0d 0a 73 75 |d 5-19 y|ears..su|
|000027d0| 73 74 61 69 6e 20 74 68 | 65 20 6d 6f 73 74 20 63 |stain th|e most c|
|000027e0| 79 63 6c 69 6e 67 20 69 | 6e 6a 75 72 69 65 73 2c |ycling i|njuries,|
|000027f0| 20 65 73 70 65 63 69 61 | 6c 6c 79 20 68 65 61 64 | especia|lly head|
|00002800| 20 69 6e 6a 75 72 69 65 | 73 2e 20 20 45 66 66 6f | injurie|s. Effo|
|00002810| 72 74 73 20 74 6f 0d 0a | 70 72 6f 6d 6f 74 65 20 |rts to..|promote |
|00002820| 68 65 6c 6d 65 74 20 75 | 73 65 20 6d 75 73 74 20 |helmet u|se must |
|00002830| 62 65 20 63 6f 6d 70 6c | 65 6d 65 6e 74 65 64 20 |be compl|emented |
|00002840| 62 79 20 70 72 6f 67 72 | 61 6d 73 20 74 6f 20 65 |by progr|ams to e|
|00002850| 64 75 63 61 74 65 20 62 | 6f 74 68 20 63 79 63 6c |ducate b|oth cycl|
|00002860| 69 73 74 73 0d 0a 61 6e | 64 20 6d 6f 74 6f 72 69 |ists..an|d motori|
|00002870| 73 74 73 2c 20 62 79 20 | 6c 65 67 69 73 6c 61 74 |sts, by |legislat|
|00002880| 69 76 65 20 72 65 66 6f | 72 6d 73 2c 20 61 6e 64 |ive refo|rms, and|
|00002890| 20 62 79 20 69 6d 70 72 | 6f 76 65 6d 65 6e 74 20 | by impr|ovement |
|000028a0| 6f 66 20 74 72 61 6e 73 | 70 6f 72 74 61 74 69 6f |of trans|portatio|
|000028b0| 6e 0d 0a 73 79 73 74 65 | 6d 73 2e 0d 0a 0d 0a 50 |n..syste|ms.....P|
|000028c0| 6f 73 74 2d 43 6f 6d 6d | 65 6e 74 0d 0a 0d 0a 20 |ost-Comm|ent.... |
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|00002e30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002e40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 0d 0a 0d 0a 41 62 73 |--------|-....Abs|
|00002e50| 74 72 61 63 74 0d 0a 0d | 0a 20 20 20 20 20 46 6f |tract...|. Fo|
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|00003660| 0a 50 6f 73 74 2d 43 6f | 6d 6d 65 6e 74 0d 0a 0d |.Post-Co|mment...|
|00003670| 0a 20 20 20 20 20 4d 6f | 75 74 68 67 75 61 72 64 |. Mo|uthguard|
|00003680| 73 20 68 61 76 65 20 67 | 72 65 61 74 6c 79 20 72 |s have g|reatly r|
|00003690| 65 64 75 63 65 64 20 64 | 65 6e 74 61 6c 20 69 6e |educed d|ental in|
|000036a0| 6a 75 72 69 65 73 2c 20 | 61 6e 64 20 61 74 68 6c |juries, |and athl|
|000036b0| 65 74 65 73 20 6d 75 73 | 74 20 77 65 61 72 0d 0a |etes mus|t wear..|
|000036c0| 74 68 65 6d 20 64 75 72 | 69 6e 67 20 61 6c 6c 20 |them dur|ing all |
|000036d0| 70 72 61 63 74 69 63 65 | 73 20 61 6e 64 20 63 6f |practice|s and co|
|000036e0| 6d 70 65 74 69 74 69 6f | 6e 20 6f 66 20 74 68 6f |mpetitio|n of tho|
|000036f0| 73 65 20 73 70 6f 72 74 | 73 20 74 68 61 74 20 72 |se sport|s that r|
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|00003740| 69 73 20 69 74 73 20 61 | 62 69 6c 69 74 79 20 74 |is its a|bility t|
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|00003760| 6b 20 61 62 73 6f 72 62 | 65 72 20 74 6f 20 70 72 |k absorb|er to pr|
|00003770| 65 76 65 6e 74 20 68 65 | 61 64 20 69 6e 6a 75 72 |event he|ad injur|
|00003780| 69 65 73 2e 0d 0a 20 20 | 20 20 20 54 68 65 20 61 |ies... | The a|
|00003790| 75 74 68 6f 72 20 68 61 | 73 20 65 6d 70 68 61 73 |uthor ha|s emphas|
|000037a0| 69 7a 65 64 20 67 6f 6f | 64 20 70 72 65 63 61 75 |ized goo|d precau|
|000037b0| 74 69 6f 6e 73 20 61 67 | 61 69 6e 73 74 20 63 6f |tions ag|ainst co|
|000037c0| 6d 6d 6f 6e 20 70 72 61 | 63 74 69 63 65 73 20 74 |mmon pra|ctices t|
|000037d0| 68 61 74 0d 0a 68 61 76 | 65 20 64 65 76 65 6c 6f |hat..hav|e develo|
|000037e0| 70 65 64 20 69 6e 20 74 | 68 65 20 66 69 74 74 69 |ped in t|he fitti|
|000037f0| 6e 67 20 6f 66 20 6d 6f | 75 74 68 67 75 61 72 64 |ng of mo|uthguard|
|00003800| 73 2e 20 20 54 68 65 20 | 61 74 68 6c 65 74 65 73 |s. The |athletes|
|00003810| 20 73 68 6f 75 6c 64 20 | 62 65 0d 0a 69 6e 73 74 | should |be..inst|
|00003820| 72 75 63 74 65 64 20 6e | 6f 74 20 74 6f 20 62 69 |ructed n|ot to bi|
|00003830| 74 65 20 64 6f 77 6e 20 | 6f 6e 20 74 68 65 20 6d |te down |on the m|
|00003840| 6f 75 74 68 67 75 61 72 | 64 20 64 75 72 69 6e 67 |outhguar|d during|
|00003850| 20 66 69 74 74 69 6e 67 | 2c 20 61 6e 64 20 74 68 | fitting|, and th|
|00003860| 65 79 20 73 68 6f 75 6c | 64 0d 0a 6e 6f 74 20 62 |ey shoul|d..not b|
|00003870| 65 20 61 6c 6c 6f 77 65 | 64 20 74 6f 20 72 65 66 |e allowe|d to ref|
|00003880| 69 74 20 74 68 65 20 6d | 6f 75 74 68 67 75 61 72 |it the m|outhguar|
|00003890| 64 2e 20 20 42 6f 74 68 | 20 6f 66 20 74 68 65 73 |d. Both| of thes|
|000038a0| 65 20 70 72 61 63 74 69 | 63 65 73 20 6d 61 79 20 |e practi|ces may |
|000038b0| 63 61 75 73 65 20 74 68 | 65 0d 0a 6d 6f 75 74 68 |cause th|e..mouth|
|000038c0| 67 75 61 72 64 20 74 6f | 20 6c 6f 73 65 20 73 6f |guard to| lose so|
|000038d0| 6d 65 20 6f 66 20 69 74 | 73 20 70 72 6f 74 65 63 |me of it|s protec|
|000038e0| 74 69 76 65 20 63 61 70 | 61 62 69 6c 69 74 69 65 |tive cap|abilitie|
|000038f0| 73 2e 2d 2d 46 2e 47 2e | 20 47 65 6f 72 67 65 2c |s.--F.G.| George,|
|00003900| 20 41 54 43 2c 20 50 54 | 0d 0a 24 55 6e 69 71 75 | ATC, PT|..$Uniqu|
|00003910| 65 5f 49 44 7b 59 52 42 | 30 33 38 30 34 7d 0d 0a |e_ID{YRB|03804}..|
|00003920| 24 54 69 74 6c 65 7b 49 | 6e 69 74 69 61 6c 20 45 |$Title{I|nitial E|
|00003930| 76 65 6e 74 73 20 69 6e | 20 45 78 65 72 63 69 73 |vents in| Exercis|
|00003940| 65 2d 49 6e 64 75 63 65 | 64 20 4d 75 73 63 75 6c |e-Induce|d Muscul|
|00003950| 61 72 20 49 6e 6a 75 72 | 79 7d 0d 0a 24 41 75 74 |ar Injur|y}..$Aut|
|00003960| 68 6f 72 7b 0d 0a 41 72 | 6d 73 74 72 6f 6e 67 2c |hor{..Ar|mstrong,|
|00003970| 20 52 42 7d 0d 0a 24 41 | 66 66 69 6c 69 61 74 69 | RB}..$A|ffiliati|
|00003980| 6f 6e 7b 55 6e 69 76 20 | 6f 66 20 47 65 6f 72 67 |on{Univ |of Georg|
|00003990| 69 61 2c 20 41 74 68 65 | 6e 73 7d 0d 0a 24 4a 6f |ia, Athe|ns}..$Jo|
|000039a0| 75 72 6e 61 6c 7b 4d 65 | 64 20 53 63 69 20 53 70 |urnal{Me|d Sci Sp|
|000039b0| 6f 72 74 73 20 45 78 65 | 72 63 7d 0d 0a 24 56 6f |orts Exe|rc}..$Vo|
|000039c0| 6c 75 6d 65 7b 32 32 7d | 0d 0a 24 50 61 67 65 7b |lume{22}|..$Page{|
|000039d0| 34 32 39 2d 34 33 35 7d | 0d 0a 24 44 61 74 65 7b |429-435}|..$Date{|
|000039e0| 31 39 39 30 7d 0d 0a 24 | 59 42 56 6f 6c 7b 31 39 |1990}..$|YBVol{19|
|000039f0| 39 31 20 59 65 61 72 20 | 42 6f 6f 6b 20 6f 66 20 |91 Year |Book of |
|00003a00| 53 70 6f 72 74 73 20 4d | 65 64 69 63 69 6e 65 7d |Sports M|edicine}|
|00003a10| 0d 0a 24 43 68 61 70 74 | 65 72 7b 38 2d 35 7d 0d |..$Chapt|er{8-5}.|
|00003a20| 0a 24 59 42 45 64 69 74 | 6f 72 7b 44 72 73 2e 20 |.$YBEdit|or{Drs. |
|00003a30| 53 68 65 70 68 61 72 64 | 2c 20 45 69 63 68 6e 65 |Shephard|, Eichne|
|00003a40| 72 2c 20 53 75 74 74 6f | 6e 2c 20 61 6e 64 20 54 |r, Sutto|n, and T|
|00003a50| 6f 72 67 2c 20 43 6f 6c | 2e 20 41 6e 64 65 72 73 |org, Col|. Anders|
|00003a60| 6f 6e 2c 20 61 6e 64 20 | 4d 72 2e 0d 0a 47 65 6f |on, and |Mr...Geo|
|00003a70| 72 67 65 7d 0d 0a 24 54 | 61 62 6c 65 7b 7d 0d 0a |rge}..$T|able{}..|
|00003a80| 24 43 6f 6d 6d 65 6e 74 | 61 74 6f 72 7b 7d 0d 0a |$Comment|ator{}..|
|00003a90| 0d 0a 43 6f 70 79 72 69 | 67 68 74 20 28 43 29 20 |..Copyri|ght (C) |
|00003aa0| 59 65 61 72 20 42 6f 6f | 6b 20 4d 65 64 69 63 61 |Year Boo|k Medica|
|00003ab0| 6c 20 50 75 62 6c 69 73 | 68 65 72 73 2c 20 49 6e |l Publis|hers, In|
|00003ac0| 63 2e 20 31 39 39 31 0d | 0a 0d 0a 31 39 39 31 20 |c. 1991.|...1991 |
|00003ad0| 59 65 61 72 20 42 6f 6f | 6b 20 6f 66 20 53 70 6f |Year Boo|k of Spo|
|00003ae0| 72 74 73 20 4d 65 64 69 | 63 69 6e 65 0d 0a 0d 0a |rts Medi|cine....|
|00003af0| 43 68 61 70 74 65 72 20 | 38 20 2d 2d 20 45 70 69 |Chapter |8 -- Epi|
|00003b00| 64 65 6d 69 6f 6c 6f 67 | 79 20 61 6e 64 20 50 72 |demiolog|y and Pr|
|00003b10| 65 76 65 6e 74 69 6f 6e | 20 6f 66 20 49 6e 6a 75 |evention| of Inju|
|00003b20| 72 79 0d 0a 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |ry....--|--------|
|00003b30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003b40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003b50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003b60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003b70| 2d 2d 2d 2d 0d 0a 49 6e | 69 74 69 61 6c 20 45 76 |----..In|itial Ev|
|00003b80| 65 6e 74 73 20 69 6e 20 | 45 78 65 72 63 69 73 65 |ents in |Exercise|
|00003b90| 2d 49 6e 64 75 63 65 64 | 20 4d 75 73 63 75 6c 61 |-Induced| Muscula|
|00003ba0| 72 20 49 6e 6a 75 72 79 | 0d 0a 0d 0a 41 72 6d 73 |r Injury|....Arms|
|00003bb0| 74 72 6f 6e 67 20 52 42 | 0d 0a 28 55 6e 69 76 20 |trong RB|..(Univ |
|00003bc0| 6f 66 20 47 65 6f 72 67 | 69 61 2c 20 41 74 68 65 |of Georg|ia, Athe|
|00003bd0| 6e 73 29 0d 0a 4d 65 64 | 20 53 63 69 20 53 70 6f |ns)..Med| Sci Spo|
|00003be0| 72 74 73 20 45 78 65 72 | 63 20 32 32 3a 34 32 39 |rts Exer|c 22:429|
|00003bf0| 2d 34 33 35 2c 20 31 39 | 39 30 0d 0a 2d 2d 2d 2d |-435, 19|90..----|
|00003c00| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c10| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c20| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 0d 0a 0d 0a 41 62 |--------|--....Ab|
|00003c50| 73 74 72 61 63 74 0d 0a | 0d 0a 20 20 20 20 20 4d |stract..|.. M|
|00003c60| 75 73 63 75 6c 61 72 20 | 65 78 65 72 63 69 73 65 |uscular |exercise|
|00003c70| 2c 20 65 73 70 65 63 69 | 61 6c 6c 79 20 77 68 65 |, especi|ally whe|
|00003c80| 6e 20 72 65 6c 61 74 69 | 76 65 6c 79 20 69 6e 74 |n relati|vely int|
|00003c90| 65 6e 73 65 2c 20 6f 66 | 20 6c 6f 6e 67 20 64 75 |ense, of| long du|
|00003ca0| 72 61 74 69 6f 6e 2c 0d | 0a 61 6e 64 2f 6f 72 20 |ration,.|.and/or |
|00003cb0| 74 68 61 74 20 69 6e 63 | 6c 75 64 65 73 20 65 63 |that inc|ludes ec|
|00003cc0| 63 65 6e 74 72 69 63 20 | 63 6f 6e 74 72 61 63 74 |centric |contract|
|00003cd0| 69 6f 6e 73 2c 20 6f 66 | 74 65 6e 20 72 65 73 75 |ions, of|ten resu|
|00003ce0| 6c 74 73 20 69 6e 20 69 | 6e 6a 75 72 79 20 74 6f |lts in i|njury to|
|00003cf0| 0d 0a 73 6b 65 6c 65 74 | 61 6c 20 6d 75 73 63 6c |..skelet|al muscl|
|00003d00| 65 20 66 69 62 65 72 73 | 2e 20 20 54 68 65 20 69 |e fibers|. The i|
|00003d10| 6e 69 74 69 61 6c 20 6c | 65 73 69 6f 6e 73 20 75 |nitial l|esions u|
|00003d20| 73 75 61 6c 6c 79 20 61 | 72 65 20 73 75 62 63 65 |sually a|re subce|
|00003d30| 6c 6c 75 6c 61 72 20 61 | 6e 64 20 6f 63 63 75 72 |llular a|nd occur|
|00003d40| 0d 0a 69 6e 20 61 20 72 | 65 6c 61 74 69 76 65 6c |..in a r|elativel|
|00003d50| 79 20 73 6d 61 6c 6c 20 | 70 72 6f 70 6f 72 74 69 |y small |proporti|
|00003d60| 6f 6e 20 6f 66 20 74 68 | 65 20 66 69 62 65 72 73 |on of th|e fibers|
|00003d70| 20 69 6e 20 61 20 6d 75 | 73 63 6c 65 2e 20 20 54 | in a mu|scle. T|
|00003d80| 68 65 20 70 72 6f 67 72 | 65 73 73 69 6f 6e 0d 0a |he progr|ession..|
|00003d90| 6f 66 20 6d 75 73 63 6c | 65 20 69 6e 6a 75 72 79 |of muscl|e injury|
|00003da0| 20 74 68 61 74 20 72 65 | 73 75 6c 74 73 20 66 72 | that re|sults fr|
|00003db0| 6f 6d 20 65 78 65 72 63 | 69 73 65 20 69 73 20 64 |om exerc|ise is d|
|00003dc0| 69 76 69 64 65 64 20 69 | 6e 74 6f 20 34 20 73 74 |ivided i|nto 4 st|
|00003dd0| 61 67 65 73 3b 20 74 68 | 65 0d 0a 70 6f 74 65 6e |ages; th|e..poten|
|00003de0| 74 69 61 6c 20 6d 65 63 | 68 61 6e 69 73 6d 73 20 |tial mec|hanisms |
|00003df0| 75 6e 64 65 72 6c 79 69 | 6e 67 20 74 68 65 20 66 |underlyi|ng the f|
|00003e00| 69 72 73 74 20 32 20 73 | 74 61 67 65 73 20 77 65 |irst 2 s|tages we|
|00003e10| 72 65 20 65 78 61 6d 69 | 6e 65 64 2e 0d 0a 20 20 |re exami|ned... |
|00003e20| 20 20 20 54 68 65 20 69 | 6e 69 74 69 61 6c 20 73 | The i|nitial s|
|00003e30| 74 61 67 65 20 6f 66 20 | 65 78 65 72 63 69 73 65 |tage of |exercise|
|00003e40| 64 2d 69 6e 64 75 63 65 | 64 20 69 6e 6a 75 72 79 |d-induce|d injury|
|00003e50| 20 69 6e 20 73 6b 65 6c | 65 74 61 6c 20 6d 75 73 | in skel|etal mus|
|00003e60| 63 6c 65 20 66 69 62 65 | 72 73 0d 0a 69 6e 63 6c |cle fibe|rs..incl|
|00003e70| 75 64 65 73 20 74 68 65 | 20 65 76 65 6e 74 20 74 |udes the| event t|
|00003e80| 68 61 74 20 74 72 69 67 | 67 65 72 73 20 74 68 65 |hat trig|gers the|
|00003e90| 20 6c 61 74 65 72 20 73 | 74 61 67 65 73 2e 20 20 | later s|tages. |
|00003ea0| 54 68 65 20 73 65 63 6f | 6e 64 2c 20 6f 72 0d 0a |The seco|nd, or..|
|00003eb0| 61 75 74 6f 67 65 6e 65 | 74 69 63 2c 20 73 74 61 |autogene|tic, sta|
|00003ec0| 67 65 20 6c 61 73 74 73 | 20 73 65 76 65 72 61 6c |ge lasts| several|
|00003ed0| 20 68 6f 75 72 73 2e 20 | 20 49 6e 20 74 68 69 73 | hours. | In this|
|00003ee0| 20 73 74 61 67 65 2c 20 | 70 72 6f 74 65 6f 6c 79 | stage, |proteoly|
|00003ef0| 74 69 63 20 61 6e 64 0d | 0a 6c 69 70 6f 6c 79 74 |tic and.|.lipolyt|
|00003f00| 69 63 20 73 79 73 74 65 | 6d 73 20 69 6e 64 69 67 |ic syste|ms indig|
|00003f10| 65 6e 6f 75 73 20 74 6f | 20 74 68 65 20 6d 75 73 |enous to| the mus|
|00003f20| 63 6c 65 20 66 69 62 65 | 72 73 20 62 65 67 69 6e |cle fibe|rs begin|
|00003f30| 20 74 68 65 20 70 72 6f | 63 65 73 73 20 6f 66 0d | the pro|cess of.|
|00003f40| 0a 64 65 67 72 61 64 69 | 6e 67 20 63 65 6c 6c 75 |.degradi|ng cellu|
|00003f50| 6c 61 72 20 73 74 72 75 | 63 74 75 72 65 73 2e 20 |lar stru|ctures. |
|00003f60| 20 54 68 65 20 70 68 61 | 67 6f 63 79 74 69 63 20 | The pha|gocytic |
|00003f70| 73 74 61 67 65 20 69 73 | 20 6d 61 72 6b 65 64 20 |stage is| marked |
|00003f80| 62 79 20 61 20 74 79 70 | 69 63 61 6c 0d 0a 69 6e |by a typ|ical..in|
|00003f90| 66 6c 61 6d 6d 61 74 6f | 72 79 20 72 65 73 70 6f |flammato|ry respo|
|00003fa0| 6e 73 65 20 69 6e 20 74 | 68 65 20 74 69 73 73 75 |nse in t|he tissu|
|00003fb0| 65 2e 20 20 46 6f 6c 6c | 6f 77 69 6e 67 20 74 68 |e. Foll|owing th|
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|00003fd0| 72 61 74 69 76 65 0d 0a | 73 74 61 67 65 2e 20 20 |rative..|stage. |
|00003fe0| 42 79 20 61 70 70 72 6f | 78 69 6d 61 74 65 6c 79 |By appro|ximately|
|00003ff0| 20 34 2d 36 20 64 61 79 | 73 20 70 6f 73 74 20 65 | 4-6 day|s post e|
|00004000| 78 65 72 63 69 73 65 2c | 20 74 68 65 72 65 20 69 |xercise,| there i|
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|00004030| 6e 20 6f 66 20 6d 79 6f | 66 69 62 65 72 73 20 69 |n of myo|fibers i|
|00004040| 6e 20 74 68 65 20 69 6e | 6a 75 72 65 64 20 6d 75 |n the in|jured mu|
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|00004060| 72 65 64 20 6d 75 73 63 | 6c 65 73 20 61 70 70 65 |red musc|les appe|
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|00004080| 20 61 62 6f 75 74 20 31 | 30 2d 31 34 20 64 61 79 | about 1|0-14 day|
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|000040a0| 61 6c 20 69 6e 69 74 69 | 61 6c 20 65 76 65 6e 74 |al initi|al event|
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|000040d0| 64 20 6d 65 74 61 62 6f | 6c 69 63 0d 0a 66 61 63 |d metabo|lic..fac|
|000040e0| 74 6f 72 73 2e 20 20 4f | 6e 65 20 63 6f 6d 6d 6f |tors. O|ne commo|
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|00004110| 61 6d 69 6e 61 74 69 6f | 6e 20 6f 66 20 70 6f 73 |aminatio|n of pos|
|00004120| 73 69 62 6c 65 0d 0a 69 | 6e 69 74 69 61 74 69 6e |sible..i|nitiatin|
|00004130| 67 20 65 76 65 6e 74 73 | 20 69 73 20 74 68 65 20 |g events| is the |
|00004140| 6c 6f 73 73 20 6f 66 20 | 63 65 6c 6c 75 6c 61 72 |loss of |cellular|
|00004150| 20 43 61 5e 32 2b 20 68 | 6f 6d 65 6f 73 74 61 73 | Ca^2+ h|omeostas|
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|000041b0| 74 6f 67 65 6e 65 74 69 | 63 0d 0a 64 65 73 74 72 |togeneti|c..destr|
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|00004220| 66 6f 72 63 65 20 61 6e | 64 20 64 65 6c 61 79 65 |force an|d delaye|
|00004230| 64 2d 6f 6e 73 65 74 20 | 73 6f 72 65 6e 65 73 73 |d-onset |soreness|
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|00004250| 61 66 74 65 72 0d 0a 65 | 63 63 65 6e 74 72 69 63 |after..e|ccentric|
|00004260| 20 65 78 65 72 63 69 73 | 65 20 70 72 6f 62 61 62 | exercis|e probab|
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|00004320| 73 61 72 63 6f 6c 65 6d | 6d 61 2e 0d 0a 20 20 20 |sarcolem|ma... |
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|00005110| 20 4d 65 64 69 63 69 6e | 65 0d 0a 0d 0a 43 68 61 | Medicin|e....Cha|
|00005120| 70 74 65 72 20 38 20 2d | 2d 20 45 70 69 64 65 6d |pter 8 -|- Epidem|
|00005130| 69 6f 6c 6f 67 79 20 61 | 6e 64 20 50 72 65 76 65 |iology a|nd Preve|
|00005140| 6e 74 69 6f 6e 20 6f 66 | 20 49 6e 6a 75 72 79 0d |ntion of| Injury.|
|00005150| 0a 0d 0a 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |...-----|--------|
|00005160| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005170| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005180| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005190| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000051a0| 2d 0d 0a 43 6c 69 6e 69 | 63 61 6c 20 41 73 70 65 |-..Clini|cal Aspe|
|000051b0| 63 74 73 20 6f 66 20 4d | 75 73 63 6c 65 20 49 6e |cts of M|uscle In|
|000051c0| 6a 75 72 79 0d 0a 0d 0a | 4b 69 62 6c 65 72 20 57 |jury....|Kibler W|
|000051d0| 42 0d 0a 28 4c 65 78 69 | 6e 67 74 6f 6e 20 43 6c |B..(Lexi|ngton Cl|
|000051e0| 69 6e 69 63 2c 20 4c 65 | 78 69 6e 67 74 6f 6e 2c |inic, Le|xington,|
|000051f0| 20 4b 79 29 0d 0a 4d 65 | 64 20 53 63 69 20 53 70 | Ky)..Me|d Sci Sp|
|00005200| 6f 72 74 73 20 45 78 65 | 72 63 20 32 32 3a 34 35 |orts Exe|rc 22:45|
|00005210| 30 2d 34 35 32 2c 20 31 | 39 39 30 0d 0a 2d 2d 2d |0-452, 1|990..---|
|00005220| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005230| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005240| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005250| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005260| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 0d 0a 0d 0a 41 |--------|---....A|
|00005270| 62 73 74 72 61 63 74 0d | 0a 0d 0a 20 20 20 20 20 |bstract.|... |
|00005280| 41 6c 74 68 6f 75 67 68 | 20 6d 75 73 63 6c 65 20 |Although| muscle |
|00005290| 6f 76 65 72 6c 6f 61 64 | 20 69 6e 6a 75 72 79 20 |overload| injury |
|000052a0| 69 73 20 74 68 65 20 6d | 6f 73 74 20 63 6f 6d 6d |is the m|ost comm|
|000052b0| 6f 6e 20 74 79 70 65 20 | 6f 66 20 61 74 68 6c 65 |on type |of athle|
|000052c0| 74 69 63 0d 0a 69 6e 6a | 75 72 79 2c 20 72 65 63 |tic..inj|ury, rec|
|000052d0| 6f 67 6e 69 74 69 6f 6e | 20 6f 66 20 74 68 69 73 |ognition| of this|
|000052e0| 20 74 79 70 65 20 6f 66 | 20 69 6e 6a 75 72 79 20 | type of| injury |
|000052f0| 69 73 20 73 6f 6d 65 74 | 69 6d 65 73 20 64 65 6c |is somet|imes del|
|00005300| 61 79 65 64 2e 20 20 4d | 75 73 63 6c 65 0d 0a 69 |ayed. M|uscle..i|
|00005310| 6e 6a 75 72 69 65 73 20 | 6d 61 79 20 6d 61 6e 69 |njuries |may mani|
|00005320| 66 65 73 74 20 63 6c 69 | 6e 69 63 61 6c 6c 79 20 |fest cli|nically |
|00005330| 69 6e 20 61 20 76 61 72 | 69 65 74 79 20 6f 66 20 |in a var|iety of |
|00005340| 77 61 79 73 20 74 68 61 | 74 20 72 61 6e 67 65 20 |ways tha|t range |
|00005350| 66 72 6f 6d 20 74 68 65 | 0d 0a 73 75 62 63 6c 69 |from the|..subcli|
|00005360| 6e 69 63 61 6c 20 74 6f | 20 74 68 65 20 63 61 74 |nical to| the cat|
|00005370| 61 73 74 72 6f 70 68 69 | 63 2e 20 20 46 6f 75 72 |astrophi|c. Four|
|00005380| 20 63 61 73 65 20 72 65 | 70 6f 72 74 73 20 69 6c | case re|ports il|
|00005390| 6c 75 73 74 72 61 74 65 | 20 74 68 65 20 34 20 67 |lustrate| the 4 g|
|000053a0| 65 6e 65 72 61 6c 0d 0a | 63 61 74 65 67 6f 72 69 |eneral..|categori|
|000053b0| 65 73 20 6f 66 20 6d 75 | 73 63 6c 65 20 6f 76 65 |es of mu|scle ove|
|000053c0| 72 6c 6f 61 64 20 69 6e | 6a 75 72 79 20 61 6e 64 |rload in|jury and|
|000053d0| 20 74 68 65 20 6e 65 65 | 64 20 66 6f 72 20 61 20 | the nee|d for a |
|000053e0| 63 6f 6d 70 6c 65 74 65 | 20 70 6c 61 6e 20 66 6f |complete| plan fo|
|000053f0| 72 0d 0a 74 72 65 61 74 | 6d 65 6e 74 20 61 6e 64 |r..treat|ment and|
|00005400| 20 72 65 68 61 62 69 6c | 69 74 61 74 69 6f 6e 2e | rehabil|itation.|
|00005410| 0d 0a 20 20 20 20 20 54 | 68 65 20 70 72 69 6e 63 |.. T|he princ|
|00005420| 69 70 61 6c 20 74 79 70 | 65 73 20 6f 66 20 6d 75 |ipal typ|es of mu|
|00005430| 73 63 6c 65 20 6f 76 65 | 72 6c 6f 61 64 20 69 6e |scle ove|rload in|
|00005440| 6a 75 72 79 20 73 65 65 | 6e 20 62 79 20 74 68 65 |jury see|n by the|
|00005450| 20 70 68 79 73 69 63 69 | 61 6e 20 61 72 65 0d 0a | physici|an are..|
|00005460| 61 63 75 74 65 20 69 6e | 6a 75 72 79 2c 20 63 68 |acute in|jury, ch|
|00005470| 72 6f 6e 69 63 20 69 6e | 6a 75 72 79 2c 20 61 63 |ronic in|jury, ac|
|00005480| 75 74 65 20 65 78 61 63 | 65 72 62 61 74 69 6f 6e |ute exac|erbation|
|00005490| 20 6f 66 20 61 20 63 68 | 72 6f 6e 69 63 20 69 6e | of a ch|ronic in|
|000054a0| 6a 75 72 79 2c 20 61 6e | 64 0d 0a 73 75 62 63 6c |jury, an|d..subcl|
|000054b0| 69 6e 69 63 61 6c 20 66 | 75 6e 63 74 69 6f 6e 61 |inical f|unctiona|
|000054c0| 6c 20 61 6c 74 65 72 61 | 74 69 6f 6e 2e 20 20 45 |l altera|tion. E|
|000054d0| 61 63 68 20 6d 75 73 63 | 6c 65 20 69 6e 6a 75 72 |ach musc|le injur|
|000054e0| 79 20 63 61 6e 20 62 65 | 20 66 75 72 74 68 65 72 |y can be| further|
|000054f0| 20 62 72 6f 6b 65 6e 0d | 0a 64 6f 77 6e 20 69 6e | broken.|.down in|
|00005500| 74 6f 20 35 20 73 65 70 | 61 72 61 74 65 20 61 72 |to 5 sep|arate ar|
|00005510| 65 61 73 20 74 68 61 74 | 20 63 6f 6e 74 72 69 62 |eas that| contrib|
|00005520| 75 74 65 20 74 6f 20 74 | 68 65 20 70 72 6f 64 75 |ute to t|he produ|
|00005530| 63 74 69 6f 6e 20 6f 72 | 20 63 6f 6e 74 69 6e 75 |ction or| continu|
|00005540| 61 74 69 6f 6e 0d 0a 6f | 66 20 73 79 6d 70 74 6f |ation..o|f sympto|
|00005550| 6d 73 3a 20 20 74 69 73 | 73 75 65 20 69 6e 6a 75 |ms: tis|sue inju|
|00005560| 72 79 20 63 6f 6d 70 6c | 65 78 2c 20 63 6c 69 6e |ry compl|ex, clin|
|00005570| 69 63 61 6c 20 73 79 6d | 70 74 6f 6d 20 63 6f 6d |ical sym|ptom com|
|00005580| 70 6c 65 78 2c 20 66 75 | 6e 63 74 69 6f 6e 61 6c |plex, fu|nctional|
|00005590| 0d 0a 62 69 6f 6d 65 63 | 68 61 6e 69 63 61 6c 20 |..biomec|hanical |
|000055a0| 64 65 66 69 63 69 74 2c | 20 66 75 6e 63 74 69 6f |deficit,| functio|
|000055b0| 6e 61 6c 20 61 64 61 70 | 74 61 74 69 6f 6e 20 63 |nal adap|tation c|
|000055c0| 6f 6d 70 6c 65 78 2c 20 | 61 6e 64 20 74 69 73 73 |omplex, |and tiss|
|000055d0| 75 65 20 6f 76 65 72 6c | 6f 61 64 0d 0a 63 6f 6d |ue overl|oad..com|
|000055e0| 70 6c 65 78 2e 20 20 54 | 68 65 73 65 20 63 6f 6d |plex. T|hese com|
|000055f0| 70 6f 6e 65 6e 74 73 20 | 61 72 65 20 70 61 72 74 |ponents |are part|
|00005600| 73 20 6f 66 20 61 20 6e | 65 67 61 74 69 76 65 20 |s of a n|egative |
|00005610| 66 65 65 64 62 61 63 6b | 20 6c 6f 6f 70 20 74 68 |feedback| loop th|
|00005620| 61 74 20 6f 63 63 75 72 | 73 0d 0a 69 6e 20 6d 75 |at occur|s..in mu|
|00005630| 73 63 6c 65 20 61 6e 64 | 20 6d 75 73 63 6c 65 20 |scle and| muscle |
|00005640| 6f 76 65 72 6c 6f 61 64 | 20 69 6e 6a 75 72 69 65 |overload| injurie|
|00005650| 73 2e 0d 0a 0d 0a 20 20 | 20 20 20 4d 61 6e 2c 20 |s..... | Man, |
|00005660| 33 31 2c 20 61 20 73 65 | 72 69 6f 75 73 20 72 75 |31, a se|rious ru|
|00005670| 6e 6e 65 72 2c 20 63 6f | 6d 70 6c 61 69 6e 65 64 |nner, co|mplained|
|00005680| 20 6f 66 20 61 20 63 68 | 72 6f 6e 69 63 20 69 6e | of a ch|ronic in|
|00005690| 6a 75 72 79 2e 20 20 48 | 65 20 68 61 64 20 61 0d |jury. H|e had a.|
|000056a0| 0a 31 2d 79 65 61 72 20 | 68 69 73 74 6f 72 79 20 |.1-year |history |
|000056b0| 6f 66 20 70 61 69 6e 20 | 69 6e 20 74 68 65 20 70 |of pain |in the p|
|000056c0| 6c 61 6e 74 61 72 20 61 | 73 70 65 63 74 20 6f 66 |lantar a|spect of|
|000056d0| 20 74 68 65 20 68 65 65 | 6c 2e 20 20 54 68 65 20 | the hee|l. The |
|000056e0| 70 61 69 6e 20 68 61 64 | 0d 0a 69 6e 63 72 65 61 |pain had|..increa|
|000056f0| 73 65 64 20 6f 76 65 72 | 20 74 68 65 20 79 65 61 |sed over| the yea|
|00005700| 72 2c 20 63 61 75 73 69 | 6e 67 20 61 20 64 65 63 |r, causi|ng a dec|
|00005710| 72 65 61 73 65 20 69 6e | 20 6d 69 6c 65 61 67 65 |rease in| mileage|
|00005720| 20 61 6e 64 20 61 6e 20 | 69 6e 63 72 65 61 73 65 | and an |increase|
|00005730| 20 69 6e 0d 0a 74 69 6d | 65 73 2e 20 20 54 68 69 | in..tim|es. Thi|
|00005740| 73 20 69 6e 6a 75 72 79 | 20 64 65 76 65 6c 6f 70 |s injury| develop|
|00005750| 65 64 20 77 69 74 68 6f | 75 74 20 61 20 73 69 6e |ed witho|ut a sin|
|00005760| 67 6c 65 20 65 70 69 73 | 6f 64 65 20 6f 66 20 74 |gle epis|ode of t|
|00005770| 72 61 75 6d 61 2e 20 20 | 45 63 63 65 6e 74 72 69 |rauma. |Eccentri|
|00005780| 63 0d 0a 6f 76 65 72 6c | 6f 61 64 2c 20 74 68 65 |c..overl|oad, the|
|00005790| 20 69 6e 69 74 69 61 6c | 20 70 72 6f 62 6c 65 6d | initial| problem|
|000057a0| 2c 20 63 61 75 73 65 64 | 20 61 6e 20 69 6e 61 62 |, caused| an inab|
|000057b0| 69 6c 69 74 79 20 6f 66 | 20 74 68 65 20 6c 6f 61 |ility of| the loa|
|000057c0| 64 2d 62 65 61 72 69 6e | 67 0d 0a 6d 75 73 63 75 |d-bearin|g..muscu|
|000057d0| 6c 6f 74 65 6e 64 69 6e | 6f 75 73 20 75 6e 69 74 |lotendin|ous unit|
|000057e0| 73 20 74 6f 20 61 63 63 | 65 70 74 20 74 68 65 20 |s to acc|ept the |
|000057f0| 66 6f 72 63 65 73 20 67 | 65 6e 65 72 61 74 65 64 |forces g|enerated|
|00005800| 20 64 75 72 69 6e 67 20 | 72 75 6e 6e 69 6e 67 2e | during |running.|
|00005810| 0d 0a 52 65 73 75 6c 74 | 69 6e 67 20 69 6e 66 6c |..Result|ing infl|
|00005820| 65 78 69 62 69 6c 69 74 | 69 65 73 20 63 72 65 61 |exibilit|ies crea|
|00005830| 74 65 64 20 61 20 66 75 | 6e 63 74 69 6f 6e 61 6c |ted a fu|nctional|
|00005840| 20 20 70 72 6f 6e 61 74 | 69 6f 6e 2c 20 61 20 62 | pronat|ion, a b|
|00005850| 69 6f 6d 65 63 68 61 6e | 69 63 61 6c 0d 0a 64 65 |iomechan|ical..de|
|00005860| 66 69 63 69 74 20 74 68 | 61 74 20 74 68 65 6e 20 |ficit th|at then |
|00005870| 70 75 74 73 20 61 6e 20 | 69 6e 63 72 65 61 73 65 |puts an |increase|
|00005880| 64 20 74 65 6e 73 69 6c | 65 20 6c 6f 61 64 20 6f |d tensil|e load o|
|00005890| 6e 20 74 68 65 20 70 6c | 61 6e 74 61 72 20 66 61 |n the pl|antar fa|
|000058a0| 73 63 69 61 2e 0d 0a 20 | 20 20 20 20 54 68 69 73 |scia... | This|
|000058b0| 20 63 61 73 65 20 69 6c | 6c 75 73 74 72 61 74 65 | case il|lustrate|
|000058c0| 73 20 74 68 65 20 66 61 | 63 74 20 74 68 61 74 20 |s the fa|ct that |
|000058d0| 74 72 65 61 74 69 6e 67 | 20 6f 6e 6c 79 20 74 68 |treating| only th|
|000058e0| 65 20 73 79 6d 70 74 6f | 6d 73 20 77 69 6c 6c 20 |e sympto|ms will |
|000058f0| 6f 66 74 65 6e 0d 0a 6e | 6f 74 20 72 65 73 74 6f |often..n|ot resto|
|00005900| 72 65 20 6e 6f 72 6d 61 | 6c 20 66 75 6e 63 74 69 |re norma|l functi|
|00005910| 6f 6e 2e 20 20 54 6f 20 | 65 73 74 61 62 6c 69 73 |on. To |establis|
|00005920| 68 20 61 6c 6c 20 61 72 | 65 61 73 20 74 68 61 74 |h all ar|eas that|
|00005930| 20 6e 65 65 64 20 74 72 | 65 61 74 6d 65 6e 74 20 | need tr|eatment |
|00005940| 61 6e 64 0d 0a 72 65 68 | 61 62 69 6c 69 74 61 74 |and..reh|abilitat|
|00005950| 69 6f 6e 2c 20 69 74 20 | 6d 61 79 20 62 65 20 6e |ion, it |may be n|
|00005960| 65 63 65 73 73 61 72 79 | 20 74 6f 20 65 78 61 6d |ecessary| to exam|
|00005970| 69 6e 65 20 73 69 74 65 | 73 20 6f 66 20 75 6e 64 |ine site|s of und|
|00005980| 65 72 6c 79 69 6e 67 20 | 64 69 73 65 61 73 65 0d |erlying |disease.|
|00005990| 0a 74 68 61 74 20 61 72 | 65 20 64 69 73 74 61 6e |.that ar|e distan|
|000059a0| 74 20 66 72 6f 6d 20 73 | 69 74 65 73 20 6f 66 20 |t from s|ites of |
|000059b0| 73 79 6d 70 74 6f 6d 73 | 2e 0d 0a 24 55 6e 69 71 |symptoms|...$Uniq|
|000059c0| 75 65 5f 49 44 7b 59 52 | 42 30 33 38 30 37 7d 0d |ue_ID{YR|B03807}.|
|000059d0| 0a 24 54 69 74 6c 65 7b | 52 65 68 61 62 69 6c 69 |.$Title{|Rehabili|
|000059e0| 74 61 74 69 6f 6e 20 6f | 66 20 4d 75 73 63 6c 65 |tation o|f Muscle|
|000059f0| 20 49 6e 6a 75 72 69 65 | 73 7d 0d 0a 24 41 75 74 | Injurie|s}..$Aut|
|00005a00| 68 6f 72 7b 0d 0a 48 65 | 72 72 69 6e 67 2c 20 53 |hor{..He|rring, S|
|00005a10| 41 7d 0d 0a 24 41 66 66 | 69 6c 69 61 74 69 6f 6e |A}..$Aff|iliation|
|00005a20| 7b 55 6e 69 76 20 6f 66 | 20 57 61 73 68 69 6e 67 |{Univ of| Washing|
|00005a30| 74 6f 6e 2c 20 53 65 61 | 74 74 6c 65 7d 0d 0a 24 |ton, Sea|ttle}..$|
|00005a40| 4a 6f 75 72 6e 61 6c 7b | 4d 65 64 20 53 63 69 20 |Journal{|Med Sci |
|00005a50| 53 70 6f 72 74 73 20 45 | 78 65 72 63 7d 0d 0a 24 |Sports E|xerc}..$|
|00005a60| 56 6f 6c 75 6d 65 7b 32 | 32 7d 0d 0a 24 50 61 67 |Volume{2|2}..$Pag|
|00005a70| 65 7b 34 35 33 2d 34 35 | 36 7d 0d 0a 24 44 61 74 |e{453-45|6}..$Dat|
|00005a80| 65 7b 31 39 39 30 7d 0d | 0a 24 59 42 56 6f 6c 7b |e{1990}.|.$YBVol{|
|00005a90| 31 39 39 31 20 59 65 61 | 72 20 42 6f 6f 6b 20 6f |1991 Yea|r Book o|
|00005aa0| 66 20 53 70 6f 72 74 73 | 20 4d 65 64 69 63 69 6e |f Sports| Medicin|
|00005ab0| 65 7d 0d 0a 24 43 68 61 | 70 74 65 72 7b 38 2d 38 |e}..$Cha|pter{8-8|
|00005ac0| 7d 0d 0a 24 59 42 45 64 | 69 74 6f 72 7b 44 72 73 |}..$YBEd|itor{Drs|
|00005ad0| 2e 20 53 68 65 70 68 61 | 72 64 2c 20 45 69 63 68 |. Shepha|rd, Eich|
|00005ae0| 6e 65 72 2c 20 53 75 74 | 74 6f 6e 2c 20 61 6e 64 |ner, Sut|ton, and|
|00005af0| 20 54 6f 72 67 2c 20 43 | 6f 6c 2e 20 41 6e 64 65 | Torg, C|ol. Ande|
|00005b00| 72 73 6f 6e 2c 20 61 6e | 64 20 4d 72 2e 0d 0a 47 |rson, an|d Mr...G|
|00005b10| 65 6f 72 67 65 7d 0d 0a | 24 54 61 62 6c 65 7b 7d |eorge}..|$Table{}|
|00005b20| 0d 0a 24 43 6f 6d 6d 65 | 6e 74 61 74 6f 72 7b 4a |..$Comme|ntator{J|
|00005b30| 2e 53 2e 20 54 6f 72 67 | 2c 20 4d 2e 44 2e 7d 0d |.S. Torg|, M.D.}.|
|00005b40| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 43 29 |...Copyr|ight (C)|
|00005b50| 20 59 65 61 72 20 42 6f | 6f 6b 20 4d 65 64 69 63 | Year Bo|ok Medic|
|00005b60| 61 6c 20 50 75 62 6c 69 | 73 68 65 72 73 2c 20 49 |al Publi|shers, I|
|00005b70| 6e 63 2e 20 31 39 39 31 | 0d 0a 0d 0a 31 39 39 31 |nc. 1991|....1991|
|00005b80| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
|00005b90| 6f 72 74 73 20 4d 65 64 | 69 63 69 6e 65 0d 0a 0d |orts Med|icine...|
|00005ba0| 0a 43 68 61 70 74 65 72 | 20 38 20 2d 2d 20 45 70 |.Chapter| 8 -- Ep|
|00005bb0| 69 64 65 6d 69 6f 6c 6f | 67 79 20 61 6e 64 20 50 |idemiolo|gy and P|
|00005bc0| 72 65 76 65 6e 74 69 6f | 6e 20 6f 66 20 49 6e 6a |reventio|n of Inj|
|00005bd0| 75 72 79 0d 0a 0d 0a 2d | 2d 2d 2d 2d 2d 2d 2d 2d |ury....-|--------|
|00005be0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005bf0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005c00| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005c10| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005c20| 2d 2d 2d 2d 2d 0d 0a 52 | 65 68 61 62 69 6c 69 74 |-----..R|ehabilit|
|00005c30| 61 74 69 6f 6e 20 6f 66 | 20 4d 75 73 63 6c 65 20 |ation of| Muscle |
|00005c40| 49 6e 6a 75 72 69 65 73 | 0d 0a 0d 0a 48 65 72 72 |Injuries|....Herr|
|00005c50| 69 6e 67 20 53 41 0d 0a | 28 55 6e 69 76 20 6f 66 |ing SA..|(Univ of|
|00005c60| 20 57 61 73 68 69 6e 67 | 74 6f 6e 2c 20 53 65 61 | Washing|ton, Sea|
|00005c70| 74 74 6c 65 29 0d 0a 4d | 65 64 20 53 63 69 20 53 |ttle)..M|ed Sci S|
|00005c80| 70 6f 72 74 73 20 45 78 | 65 72 63 20 32 32 3a 34 |ports Ex|erc 22:4|
|00005c90| 35 33 2d 34 35 36 2c 20 | 31 39 39 30 0d 0a 2d 2d |53-456, |1990..--|
|00005ca0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005cb0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005cc0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005cd0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005ce0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 0d 0a 0d 0a |--------|----....|
|00005cf0| 41 62 73 74 72 61 63 74 | 0d 0a 0d 0a 20 20 20 20 |Abstract|.... |
|00005d00| 20 4f 76 65 72 6c 6f 61 | 64 20 69 6e 6a 75 72 79 | Overloa|d injury|
|00005d10| 20 74 6f 20 74 68 65 20 | 6d 75 73 63 6c 65 20 61 | to the |muscle a|
|00005d20| 6e 64 20 6d 75 73 63 6c | 65 2d 74 65 6e 64 6f 6e |nd muscl|e-tendon|
|00005d30| 20 75 6e 69 74 20 61 63 | 63 6f 75 6e 74 73 20 66 | unit ac|counts f|
|00005d40| 6f 72 20 75 70 20 74 6f | 0d 0a 68 61 6c 66 20 6f |or up to|..half o|
|00005d50| 66 20 61 6c 6c 20 73 70 | 6f 72 74 73 20 69 6e 6a |f all sp|orts inj|
|00005d60| 75 72 69 65 73 2e 20 20 | 42 65 63 61 75 73 65 20 |uries. |Because |
|00005d70| 66 75 6e 63 74 69 6f 6e | 61 6c 20 64 65 66 69 63 |function|al defic|
|00005d80| 69 74 73 20 63 61 6e 20 | 70 65 72 73 69 73 74 20 |its can |persist |
|00005d90| 65 76 65 6e 0d 0a 61 66 | 74 65 72 20 74 68 65 20 |even..af|ter the |
|00005da0| 73 69 67 6e 73 20 61 6e | 64 20 73 79 6d 70 74 6f |signs an|d sympto|
|00005db0| 6d 73 20 6f 66 20 69 6e | 6a 75 72 79 20 61 62 61 |ms of in|jury aba|
|00005dc0| 74 65 2c 20 72 65 68 61 | 62 69 6c 69 74 61 74 69 |te, reha|bilitati|
|00005dd0| 6f 6e 20 69 73 20 61 6e | 20 69 6d 70 6f 72 74 61 |on is an| importa|
|00005de0| 6e 74 0d 0a 70 61 72 74 | 20 6f 66 20 74 72 65 61 |nt..part| of trea|
|00005df0| 74 6d 65 6e 74 2e 0d 0a | 20 20 20 20 20 54 68 65 |tment...| The|
|00005e00| 20 67 6f 61 6c 73 20 6f | 66 20 72 65 68 61 62 69 | goals o|f rehabi|
|00005e10| 6c 69 74 61 74 69 6f 6e | 20 69 6e 63 6c 75 64 65 |litation| include|
|00005e20| 20 65 73 74 61 62 6c 69 | 73 68 6d 65 6e 74 20 6f | establi|shment o|
|00005e30| 66 20 61 6e 20 61 63 63 | 75 72 61 74 65 0d 0a 64 |f an acc|urate..d|
|00005e40| 69 61 67 6e 6f 73 69 73 | 2c 20 6d 69 6e 69 6d 69 |iagnosis|, minimi|
|00005e50| 7a 61 74 69 6f 6e 20 6f | 66 20 64 61 6d 61 67 69 |zation o|f damagi|
|00005e60| 6e 67 20 6c 6f 63 61 6c | 20 65 66 66 65 63 74 73 |ng local| effects|
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|00006060| 73 69 67 6e 69 66 69 63 | 61 6e 74 0d 0a 6a 6f 69 |signific|ant..joi|
|00006070| 6e 74 20 63 61 70 73 75 | 6c 65 2c 20 63 61 72 74 |nt capsu|le, cart|
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|00006090| 61 6c 20 62 6f 6e 65 2c | 20 61 6e 64 20 62 6f 6e |al bone,| and bon|
|000060a0| 65 2d 6c 69 67 61 6d 65 | 6e 74 20 63 68 61 6e 67 |e-ligame|nt chang|
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|000060c0| 73 75 65 20 68 65 61 6c | 69 6e 67 20 69 73 20 61 |sue heal|ing is a|
|000060d0| 6c 73 6f 20 70 72 6f 6d | 6f 74 65 64 20 62 79 20 |lso prom|oted by |
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|00006130| 6f 6d 6f 74 65 20 68 65 | 61 6c 69 6e 67 20 61 6e |omote he|aling an|
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|00006160| 66 20 6d 75 73 63 6c 65 | 20 69 6e 6a 75 72 79 2e |f muscle| injury.|
|00006170| 20 20 4e 6f 6e 73 74 65 | 72 6f 69 64 61 6c 20 61 | Nonste|roidal a|
|00006180| 6e 74 69 2d 69 6e 66 6c | 61 6d 6d 61 74 6f 72 79 |nti-infl|ammatory|
|00006190| 0d 0a 64 72 75 67 73 20 | 6d 61 79 20 62 65 20 6f |..drugs |may be o|
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|000061c0| 70 68 61 73 65 20 6f 66 | 20 61 20 6d 75 73 63 6c |phase of| a muscl|
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|000062a0| 20 20 20 42 65 66 6f 72 | 65 20 72 65 74 75 72 6e | Befor|e return|
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|000062c0| 20 73 70 6f 72 74 73 2d | 73 70 65 63 69 66 69 63 | sports-|specific|
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|00006320| 20 61 66 74 65 72 20 74 | 69 73 73 75 65 20 69 6e | after t|issue in|
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|00006340| 61 6c 20 73 79 6d 70 74 | 6f 6d 20 63 6f 6d 70 6c |al sympt|om compl|
|00006350| 65 78 65 73 20 61 72 65 | 20 72 65 73 6f 6c 76 65 |exes are| resolve|
|00006360| 64 2c 20 66 75 6c 6c 20 | 72 61 6e 67 65 20 6f 66 |d, full |range of|
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|00006390| 65 6e 67 74 68 20 61 72 | 65 20 72 65 63 6f 76 65 |ength ar|e recove|
|000063a0| 72 65 64 2c 20 61 6e 64 | 20 74 68 65 20 61 62 69 |red, and| the abi|
|000063b0| 6c 69 74 79 20 74 6f 20 | 70 65 72 66 6f 72 6d 20 |lity to |perform |
|000063c0| 73 70 6f 72 74 73 2d 73 | 70 65 63 69 66 69 63 0d |sports-s|pecific.|
|000063d0| 0a 61 63 74 69 76 69 74 | 69 65 73 20 69 73 20 64 |.activit|ies is d|
|000063e0| 65 6d 6f 6e 73 74 72 61 | 74 65 64 2e 0d 0a 0d 0a |emonstra|ted.....|
|000063f0| 50 6f 73 74 2d 43 6f 6d | 6d 65 6e 74 0d 0a 0d 0a |Post-Com|ment....|
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